P-118 - Anxiety increased perioperative pain perception in children

Abstract

Children undergoing surgery experience show presurgical anxiety high levels. Our aim was to examine the relationship between perisurgery anxiety and pain perception in children. Methods An observational prospective study in children ( Results 319 children 4.4 ± 0.2 years old (85 female 5.5 ± 0.4 years old, 234 male 4.1 ± 0.2 years old) were enrolled. The surgery procedures were hernia repair (40.4%) followed by dermatologic extirpations (12.5%), and appendicectomies (9.7%). A 79% of the patients had general anaesthesia and 16.9% had locorregional-general anaesthesia. In PARU: 9.1% of the patient received analgesia: ketorolac 5.3%, metamizol 2.2%, other NSAIDs 6.3%, opioids 1.8%, benzodiazepines 2.2%, NSAIDs+opioids+benzodiazepines 0.3%). In ODU: 47% of the patient received analgesia (ibuprofen 39.5%, paracetamol 7.6%, metamizol 2.8%). In 24 hU: 50.2% of the patient received analgesia: metamizol 27%, ibuprofen 16%, paracetamol 3.4%, ketorolac 0.6%, opioids 1.2%, benzodiazepines 0.3%, NSAIDs+paracetamol 0.9%, NSAIDs+opioids+benzodiazepines 0.6%, NSAIDs+opioids+ antiemetics 4.7%, elastomers 4.7%. Total medium AVS were (% of increment vs. pre-surgery): pre-surgery 0.89 ± 0.1 Conclusion Perisurgery anxiety increase pain perception leading an increased analgesic consumes in children.